Amenorrhea, Oligomenorrhea Flashcards Preview

KZ Obs/Gyne > Amenorrhea, Oligomenorrhea > Flashcards

Flashcards in Amenorrhea, Oligomenorrhea Deck (56)
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1

What is primary amenorrhea

no menses by age 13 in absence of secondary sexual characteristics or NO menses by age 15 with secondary sexual characteristics

2

What is secondary amenorrhea

no menses for >60mo or 3 cycles after documented menarche

3

what is oligomenorrhea?

episodic vaginal bleeding occurring at intervals >35d

4

How do you remember puberty stages

boobs, pubes, flow grow

5

Tanner stage 3?

Breast; no contour, enlargement of breast and areola

6

When does sexual differentiation occur in embryology?

6 weeks

7

What happens when males differential?

Wolffian (mesonephric) ducts; develops into epididymis, vas deferens, seminal vesicle, ejaculatory duct

8

What do wolffian (mesonephric) ducts differential into?

epididymis, vas deferens, seminal vesicles, ejaculatory duct.

9

What cells lead to male sexual differentiation?

leydig cells (internal/external) and sertoli cells (shuts down female (internal)) sexual differentiation through MID

10

how does testosterone break down to di hydrotestosterone?

5 alpha reductase

11

what happens with 5 alpha reductase deficiency

no external male genitalia (penis, scrotum, prostate)

12

What is the other name for Mayer-Rokitansky-kuster-hauser syndrome?

Mullerian agenesis

13

What is the pneumonic to remember the male internal genitalia?

SEED (seminal vesicles, ejaculatory duct, epididymis, deferens(vas)

14

Where do the male internal genitalia derive from?

Wolffian (mesonephric) duct

15

What is the other name for the mesonephric duct?

wolfian duct (male

16

What are the structures that derive from the mullein (paramesonephric) ducts)

fallopian tubules, uterus, upper part of vagina

17

What happens in mullein agensis

primary amenorrhea with FULLY developed secondary sex characteristic.

18

how do sertoli cells work?

shut down female (internal) sexual characteristics (for men) through MIF

19

what is the karyotype in androgen insensitivity syndrome?

46XY

20

What is imperforate hymen associated with?

simplest defect that results in primary amenorrhea. May be associated with cyclic pelvic pain and a perirectal mass from sequestration of blood in vagina (hemtocolpos)

21

What is hematocolpos?

perirectal mass from sequestration of blood in vagina

22

what is the initial Bloodwork in primary amenorrhea?

bhcg, tsh, FSH, LH, prolactin, pelvis US (do they have a uterus?)

23

High FSH and primary amenorrhea is what ?

turner syndrome

24

What are the major causes of secondary amenorrhea (aside from pregnancy?)

Anorexia, PCOS, stress, excessive exercise, prolactinoma,

25

when'd o you get bitemporal hemianopsia?

with prolactinoma

26

what is the cause of post d &c amenorrhea?

ashermans

27

what physical exam findings coincide with secondary amenorrhea?

hyperandrogen, galactorrhea, low weight, high weight

28

add total testosterone if you are working up what?

PCOS

29

What do you do with a high prolactin?

repeat because often false +ve

30

What causes false high prolactin?

antipsychotics